Physical activity and disability measures in chronic non-specific low back pain: a study of responsiveness

Morelhão, Priscila K.; Franco, Márcia R.; Oliveira, Crystian B.; Hisamatsu, Thalysi Mayumi; Ferreira, Paulo H.; Costa, Leonardo Oliveira Pena; Maher, Christopher G.; Pinto, Rafael Zambelli

doi:10.1177/0269215518787015

Cited by 12 publications

(8 citation statements)

References 43 publications

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“…Criterion validity assesses to what degree the self‐reported measures reflects a “gold standard.” 26 Future studies should investigate if the SBQ correlates with sedentary behavior measured using a gold standard such as ActivPAL 39 or direct observation. In addition, future studies should also investigate the responsiveness and interpretability (by calculating the minimally clinical important difference) of the SBQ after an intervention specifically designed to reduce the time spent on sedentary activities in this population 40 …”

Section: Discussionmentioning

confidence: 99%

Measurement Properties of the Sedentary Behavior Questionnaire in Patients with Chronic Nonspecific Low Back Pain

Araújo

Pinto

Azevedo

et al. 2020

PM&R

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Background The Sedentary Behavior Questionnaire (SBQ) is a brief and easy instrument to measure time spent on sedentary activities; however, no study has investigated the reliability and validity of this questionnaire in people with chronic low back pain (LBP). Objective To investigate the internal consistency, test‐retest reliability, measurement error, construct validity, and interpretability of the SBQ against data derived from an accelerometer in patients with nonspecific chronic LBP. Study design Cross‐sectional study. Setting Outpatient physiotherapy clinic. Patients Seventy‐five patients aged between 18 and 60 years (mean age, 42 years old) with nonspecific chronic LBP were recruited for this study. Interventions Not applicable. Methods The Cronbach's α was calculated to investigate the internal consistency of the SBQ and the intraclass correlation coefficient (ICC) was calculated to investigate the reliability of the SBQ between two administrations separated by a 1‐week interval. Measurement error was assessed calculating the SEM and minimal detectable change (MDC). Spearman correlation (r) was calculated to investigate the construct validity using hypothesis testing. Interpretability was investigated using ceiling and floor effects. Results The Cronbach's α of the SBQ total score was 0.92, indicating homogeneity among the items of the instrument. The reliability of the SBQ was excellent (ICC > 0.75), without any evidence of ceiling and floor effects. Regarding measurement error, the total score of the SBQ showed an SEM and MDC of 109.8 minutes per day and 304.4 minutes per day, respectively. However, there were no correlations of the SBQ domains or the total score with the accelerometer‐measured sedentary time (r < 0.25). Conclusion The SBQ is a reliable tool for quantifying time spent in sedentary activities of patients with chronic LBP. The SBQ showed poor construct validity compared to the accelerometer‐measured sedentary time, which indicates that patients may underestimate their time spent in sedentary activities.

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Section: Discussionmentioning

confidence: 99%

Measurement Properties of the Sedentary Behavior Questionnaire in Patients with Chronic Nonspecific Low Back Pain

Araújo

Pinto

Azevedo

et al. 2020

PM&R

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“…The importance of physical activity among patients with LBP has been increasingly investigated in recent times (Morelhao et al, ; Oliveira, Franco, et al, ). However, the overall quality of evidence was low‐quality evidence which suggests that better designed studies are still needed to draw definitive conclusions on this topic.…”

Section: Discussionmentioning

confidence: 99%

Physical activity as a prognostic factor of pain intensity and disability in patients with low back pain: A systematic review

Oliveira

Pinheiro

Teixeira

et al. 2019

European Journal of Pain

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Background and objective Identifying factors that influence the course of low back pain (LBP) is important to help clinicians to identify those patients at higher risk of non‐recovery. The objective of this systematic review was to investigate the prognostic role of physical activity in the course of LBP. Databases and data treatment Literature searches were conducted in five electronic databases from their inception to February 2018. Prospective cohort studies investigating the influence of any type of physical activity in people with LBP were considered eligible. The primary outcomes were pain intensity and disability. Two independent reviewers extracted the data and assessed the methodological quality of the included studies. Results were stratified according to participants’ symptoms duration at baseline. Results Twelve studies were considered eligible for this review. Of these, six included patients with chronic LBP, four studies did not specify the patients’ duration of symptoms, one study included patients with acute LBP, and one study included patients with subacute LBP. Included studies were heterogeneous in terms of physical activity assessment, outcomes, follow‐up duration, and statistical methods, therefore, pooling of results was not performed. We found limited evidence to support the prognostic role of physical activity in the course of LBP. Conclusions Our review identified limited evidence supporting physical activity as a prognostic factor in LBP. Future cohort studies are needed to clarify the strength and importance of this association. Significance Despite recent research in the area, this systematic review shows that there is low quality evidence that physical activity may not be a prognostic factor for predicting pain and disability in patients with LBP.

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“…From November 2017 to April 2018, patients who were diagnosed with CNSLBP [12] in the Department of Pain Management of the Affiliated Hospital of Qingdao University were recruited in this study and divided into 2 groups using the Stratified Blocked Randomization method: silver needle group (SN group) and control group (C group). The patients were recruited through advertisements or physicians.…”

Section: Patientsmentioning

confidence: 99%

Efficacy of silver needle therapy for the treatment of chronic nonspecific low back pain: a prospective, single-center, randomized, parallel-controlled clinical trial

Dong

Zhang

Wang

et al. 2021

Trials

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Background Chronic nonspecific low back pain (CNSLBP) troubles approximately 30% of people worldwide. Silver needle therapy (SNT) is a treatment method to relieve soft tissue pain through heating. Therefore, this study aimed to observe the effects of SNT on CNSLBP. Methods In this study, 100 patients were randomly divided into 2 groups: silver needle (SN) group and control group (n = 50). In the SN group, patients received SNT and physiotherapy, while patients received physiotherapy alone in the control group. At the 6-month follow-up, the numerical rating scale (NRS), Oswestry Disability Index (ODI), Short-Form 12 of quality of life (SF-12), the natural logarithms of low-frequency measurement (InLF), and the natural logarithms of high-frequency measurement (InHF) of heart rate variability (HRV) were recorded. Results In both groups, NRS, ODI, SF-12 scores, and HRV at 2 weeks after treatment were improved and maintained for 6 months. Compared with the control group, more significant improvements were observed in the NRS and SF-12 scores at 1, 2, 3, and 6 months and in the ODI scores at 1 and 2 months in the SN group (P < 0.05). However, there was no significant difference between the groups in the ODI scores at 3 and 6 months. InLF and InHF in the SN group were higher than those in the control group at 3 and 6 months (P < 0.05). Conclusions SNT relieved pain and improved quality of life and autonomic nerve activity, especially parasympathetic nerve, in patients with CNSLBP, without serious complications. Trial registration Chinese Clinical Trial Registry No. ChiCTR-OOC-17013237. Registered on November 11, 2017.

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Physical activity and disability measures in chronic non-specific low back pain: a study of responsiveness

Cited by 12 publications

References 43 publications

Measurement Properties of the Sedentary Behavior Questionnaire in Patients with Chronic Nonspecific Low Back Pain

Measurement Properties of the Sedentary Behavior Questionnaire in Patients with Chronic Nonspecific Low Back Pain

Physical activity as a prognostic factor of pain intensity and disability in patients with low back pain: A systematic review

Efficacy of silver needle therapy for the treatment of chronic nonspecific low back pain: a prospective, single-center, randomized, parallel-controlled clinical trial

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